Facility Evaluation Report

On 06/14/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit to the facility listed above. LPA met with Administrator, Ana Tojo, and explained the purpose of today’s visit. There are currently three (3) residents residing in the facility.

Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident’s rooms, 2 bathrooms, living room, dining area, kitchen, and outside patio area. LPA observed two (2) tables with umbrellas and chairs. LPA observed all walkways around the facility to be clean, clear, and free of obstructions, debris, or hazards. LPA did not observe any bodies of water on the premises.

Bedrooms LPA inspected all resident rooms and observed the walls and floors to be in good repair. LPA observed all resident rooms had the required furniture including a bed, dresser, nightstand, storage space for personal belonging, and ample lighting. LPA observed all beds had the required linens including a mattress cover, fitted sheet, blanket, comforter, and pillows. LPA observed an ample supply of bed linens, and comforters at the time of visit.

Bathrooms LPA inspected the facility bathrooms and found them to be within Title